Posts tagged CJR
The Case for Mandatory Bundled Payments

Why new HHS secretary Tom Price should not ignore the study in this month's Journal of the American Medical Association

Under president elect Donald Trump, Republicans in Congress are vowing to repeal and replace the Affordable Care Act, effectively slowing down the shift to value-based reimbursement. The Center for Medicare and Medicaid Innovation, created under the ACA, is responsible for much of the industry momentum towards value – and for millions of dollars in annual savings. A new study in the Journal of the American Medical Association analyzed Medicare claims data to reveal that the CMMI’s mandatory bundled payment program for joint replacement, CJR, saved participating hospitals 8% on average and sometimes much more, without sacrificing quality of care. These numbers are significant; if every hospital in America were mandated to participate, the total savings would increase to an estimated $2 billion. Encouraged by CJR’s success, CMS finalized new mandatory bundles for cardiac care in late 2016 and expanded CJR to include additional procedures.

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